Aug 7, 2023
CPT Code and Description 0059U – Oncology (Merkel Cell Carcinoma), Detection Of Antibodies To The Merkel Cell PolyomaVirus Capsid Protein (Vp1), Serum, Reported As Positive Or Negative. 0060U – Twin Zygosity, Genomic-Targeted Sequence Analysis Of...
May 15, 2023
CPT Code and Description 64490 (cervical or thoracic) or 64493 (lumbar or sacral) reports a single level injection performed with image guidance (fluoroscopy or CT). Procedures performed under ultrasound guidance are not covered. 64491 or 64494 describes a second...
Apr 11, 2023
Covered Services: a. Except for specific laboratory tests identified under non-covered services, the Division of Health Care Financing and Policy (DHCFP) reimburses organ or disease oriented panels, therapeutic drug assays, evocative/suppression testing, clinical...
Feb 9, 2023
CPT Code and Descripiton ▪ 29824 – Arthroscopic claviculectomy including distal articular surface ▪ 29827 – Arthroscopic rotator cuff repair ▪ 29828 – Biceps tenodesis Coding and Billing Guidelines. Description of Special Study: The CERT review contractor conducted a...
Dec 15, 2022
Cerebrovascular Arterial Studies (93880-93893) 93880 Duplex scan of extracranial arteries; complete bilateral study 93882 Duplex scan of extracranial arteries; unilateral or limited study (To report common carotid intima-media thickness (IMT) study for evaluation...
Oct 12, 2022
Colonoscopy Billing Tips – CPT 45380, 45385 As a speaker at many national conferences, I find the question most frequently asked is, “What is the proper way to code a screening colonoscopy?” First, let’s talk about what is a screening colonoscopy. Physicians suggest a...
Sep 15, 2022
Employer Group waiver plan Employer Group Waiver Plans (EGWPs) are well-positioned solutions to help you keep costs down and offer valuable retiree benefits. An EGWP has financial benefits that significantly exceed current RDS payments. You should consider an EGWP if...
Aug 20, 2022
CPT Code Description 47562 Laparoscopy, surgical; cholecystectomy – Average fee amount – $600 – $750 47563 – Laparoscopy, surgical; cholecystectomy with cholangiography 47564 – Laparoscopy, surgical; cholecystectomy with exploration of common duct – Average fee amount...
Jul 30, 2022
CREDENTIALING PROCESS FOR NEW PHYSICIANS Overview New physicians/providers must credential themselves, i.e., enroll and attest with the Payer’s network and authorized to provide services to patients who are members of the Payer’s plans. The credentialing process...
Jul 20, 2022
Source of Delays in the Credentialing Process: The credentialing process may get further delayed due to few primary causes. They are as follows: Poor response or planning: Many times the response from new physicians or even credentialed physicians for our requests of...
